MEDICARE: SC MEDICAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center	20A8740	CA

General Provider Information

NPI Number	:	1992078000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SC MEDICAL, INC.

Provider Business Mailing Address
First Line	:	19042 SOLEDAD CANYON RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-3362
Country	:	US
Telephone Number	:	661-251-6300
Fax Number	:	661-251-6303

Provider Business Practice Location Address
First Line	:	19042 SOLEDAD CANYON RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-3362
Country	:	US
Telephone Number	:	661-251-6300
Fax Number	:	661-251-6303

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. GIAN PAOLO HERNANDEZ
Credential	:	D.O.
Telephone Number	:	661-251-6300

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	07/23/2025

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